Job Details

Job Title:
Content Review Manager

Project Description

It's an exciting time to be joining a rapidly growing small business! Rainmakers Strategic Solutions, LLC, a certified SBA 8(a) and Economically Disadvantaged Women-Owned Small Business (EDWOSB), is looking to expand capabilities in the government healthcare space to support an expanding portfolio of federal healthcare clients. We are seeking a dynamic Content Review Manager to assist with client projects.

We are looking for a Content Review Manager to serves as the subject matter expert (SME) for all products in the Medicare Learning Network (MLN) catalog including publications, web-based training (WBTs), and articles. CRMs review each product to ensure accuracy, completeness, and compliance by leveraging federal guidelines such as the Social Security Act, federal laws, and federal manuals.

Key Responsibilities

• Serves as the Medicare SME, responsible for creating and updating MLN products using federal research sources
• Maintains current knowledge of Medicare policies, payment regulations, and industry trends to ensure informed decision-making and product relevance
• Presents updates on policy changes during weekly Content Review Meetings, sharing critical information with the team
• Incorporates new policy into products to guarantee they meet SOW requirements
• Ensures accuracy, consistency, and compliance across all products
• Effectively prioritizes tasks to uphold quality standards and timeline expectations
• Proposes recommendations for product updates and responses to CMS feedback or inquiries
• Mentors new or inexperienced project staff
• Fosters a positive team culture and maintains strong working relationships across the organization and with clients
• Assists in developing internal standard operating procedures
• Supports business development activities, proposal development, and capture efforts as requested

• Must have a bachelor's degree

• Must have 5-10 years relevant professional experience demonstrating SME qualities such as research, analysis, and information application, coupled with the in-depth knowledge of Medicare provider practices, Medicare benefits, Current Procedural Terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes, claims processing, and issues related to fraud and abuse
• Experience reviewing new and updated National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), the Federal Register, legislative changes, Medicare online manuals, and other research sources

• Exceptional verbal and written communication skills
• Proficient in writing in active voice and translating complex policy into plain language
• Self-motivated and capable of working independently
• Detail-oriented with strong organizational and planning skills
• Skilled at building effective working relationships, fostering collaboration and teamwork
• Excellent customer service skills
• Proficient in Microsoft Office Suite, Teams, and SharePoint
• Solid understanding of the production process, facilitating effective workflow management
• Adept at multitasking and managing multiple assignments with competing deadlines